| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES Filed as: INTERREMEDY INSURANCE SERVICES, LLC | 2268 WESTBOROUGH BLVD STE 302 328 SOUTH SAN FRANCISCO, CA 94080 | WELLPOINT STOP LOSS | $52K | — | $52K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS EIN 86-0004538 NONE | Contract Administrator; Claims processing; Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.7M |
| SOUTHWEST SERVICE ADMINISTRATOR EIN 86-0785790 NONE | Plan Administrator; Other fees Service code 14 | — | $1.5M |
| SEYFARTH SHAW LLP EIN 36-2152202 NONE | Legal Service code 29 | — | $200K |
| HORIZON ACTUARIAL SERVICES EIN 26-1370698 NONE | Consulting (general); Actuarial Service code 11 | — | $195K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general); Actuarial Service code 11 | — | $194K |
| PRIMECARE ADMINISTRATORS, INC EIN 47-3436194 NONE | Insurance services Service code 23 | — | $179K |
| MCCRACKEN STEMERMAN & HOLSBERRY EIN 94-1709555 NONE | Legal Service code 29 | — | $77K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Other fees Service code 99 | — | $73K |
| HENNINGFIELD & ASSOC., INC. EIN 54-2189926 NONE | Accounting (including auditing) Service code 10 | — | $56K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Insurance services Service code 23 | — | $54K |
| US BANK EIN 31-0841368 NONE | Custodial (securities) Service code 19 | — | $24K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 11,165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 111 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 11,276 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | WELLPOINT STOP LOSS | 5,719 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,719 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.